| NPI | 1255619839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990126-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 990126) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2018-10-18 |